Mental Health of Patients Hospitalized Due to Covid-19.

Autor: Glavina T; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Marasović TB; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Žuljević MF; Department of Medical Humanities, University of Split School of Medicine, Šoltanska 2, 21000 Split, Croatia., Rakušić M; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Mustapić M; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Barišić T; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Uglešić B; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Ivelja MP; Infectious Diseases Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Kozina S; Department of Psychological Medicine, University of Split School of Medicine, Šoltanska 2, 21000 Split, Croatia., Lasić D; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia., Mastelić T; Psychiatry Department, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia.
Jazyk: angličtina
Zdroj: Clinical neuropsychiatry [Clin Neuropsychiatry] 2023 Dec; Vol. 20 (6), pp. 479-485.
DOI: 10.36131/cnfioritieditore20230602
Abstrakt: Objective: The COVID-19 pandemic has imposed numerous challenges on the mental health of the population of each affected country. The mental health of patients hospitalized due to COVID-19 was particularly at risk. The goal of this research was to examine the occurrence of mental disorders in such patients and what were the risk factors for poorer mental health during hospital treatment for COVID-19.
Method: We included 135 subjects treated for COVID-19 who were discharged during January 2022. We collected their sociodemographic data as well as data on somatic comorbidities and treatment during hospitalization. We monitored how many patients were hospitalized with a psychiatric diagnosis and therapy, and how many of them started using psychotropic drugs during hospitalization. Those data were recorded both at the time of discharge and again one year later.
Results: Statistical analysis showed that the number of patients using psychotropic drugs increased 4x (n=11 (8.1%) at admission vs. n=44 (32.6%) in hospital) during hospital treatment due to COVID-19. There was an increase in the use of all psychotropic drugs except for antidepressants; specifically, there was a 3.3x increase in treatment with anxiolytics (5.2% at admission vs. 17.0% in hospital), a 3.4x increase in treatment with antipsychotics (5.2% vs. 17.8%), and an 8x increase in treatment with hypnotics (0.7% vs. 5.9%). Their use decreased close to baseline after discharge.
Conclusions: Our research showed that hospitalization due to COVID-19 leads to deterioration of mental health. We assume that there is a fear of death in the background, which can be well explained by the "landscape of fear" theory.
Competing Interests: Competing interests: None.
(© 2023 Giovanni Fioriti Editore s.r.l.)
Databáze: MEDLINE
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